Heart failure & cardiomyopathies

Effect of Dapagliflozin on Accelerometer-Based Measures of Physical Activity in Patients With Heart Failure: An Analysis of the DETERMINE Trials

Circ Heart FailPublished Secondary analysis of the DETERMINE randomised trials

Authors' conclusion

In this exploratory analysis of the DETERMINE trials, dapagliflozin had a beneficial effect on selected accelerometer-based measures of physical activity in patients with heart failure across the entire left ventricular ejection fraction spectrum, yet did not improve 6-minute walk distance, as previously reported.

Study context

Population
Patients with HF across the entire LVEF spectrumof 817 randomised with adequate data
Participants
211 patients
Comparison
Dapagliflozin vs placebo
Primary endpoint
Change in accelerometer outcomes: total steps, time in light-to-vigorous and moderate-to-vigorous physical activity, movement intensity during walking, vector magnitude units, total activity counts
Follow-up
Baseline to week 16
Methodological detailsvoluntary substudy, exploratory analysis
  • Voluntary substudy
  • Exploratory analysis

Primary result

As reported in the abstract

Mean change from baseline in accelerometer measures · 16 weeks
DapagliflozinBetween-group difference (95% CI)
Number of steps
778(240–1315)
DapagliflozinBetween-group difference, hours (95% CI)
Time in moderate-to-vigorous physical activity
0.16(0.03–0.29)
DapagliflozinBetween-group difference, counts per minute (95% CI)
Mean vector magnitude units
25(0.1–49)

Per minute, as printed

Original publication

Effect of Dapagliflozin on Accelerometer-Based Measures of Physical Activity in Patients With Heart Failure: An Analysis of the DETERMINE Trials. Circ Heart Fail. Published 30 August 2024. doi:10.1161/circheartfailure.124.012349

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